Test Name: SMALL INTESTINAL BACTERIAL OVERGROWTH (BREATH), 2 HOUR
Test Code: 2191591
Alias: Breath test
LAB9751
SIBO
CPT Code(s): 91065x2  
Test Includes:

Hydrogen, Methane.
Preferred Specimen:

Six fasting breath samples, taken at baseline, 20, 40, 60, 90, and 120 minutes
Container:

Genova breath test collection kit

Please refer to Lab Supply at 630-933-2063 for Genova collection kits
Collection Instructions:

Follow the collection instructions included with the kit.

Note the diet/allowed foods prior to testing listed below. In addition, patients should avoid aspirin during this period of time.

Foods you can eat before you start your 12 hour fast include baked or broiled chicken, fish or turkey (salt and pepper only); white bread (only); plain steamed white rice, eggs, clear chicken or beef broth with no vegetable pieces, water, plain coffee or tea (no sugar/artificial sweeteners or cream).  Vegetarians may have tofu with salt and pepper. Do not take probiotics.

12 hours prior to the test: Do not eat or drink anything other than water for 12 hours prior and during the test.during the specified time frame. Do not take non-essential medications or supplements until the test is completed, unless your physician has advised you otherwise. Do not chew gum, eat candy, or use mouthwash until the test is completed.

1 hour before the test: No smoking, including second-hand smoke, for at least 1 hour before or at any time during the breath test. No sleeping or vigorous exercise for at least 1 hour before or at any time during the breath test. Do not use toothpaste.
Transport Temperature: Room temperature
Stability: Room temperature: up to 8 days post collection
Limitations:

Special instructions for patients weighing 100 pounds or less: Follow the instructions on the blue bag for rolling and stapling the bag in accordance with weight. Note: Stapling will not damage the bag or affect the results. 

This test uses lactulose ; since lactulose contains galactose and lactose, it is not recommended for individuals who have had allergic reactions to lactulose or who are on a galactose/lactose-restricted diet. It should be used with caution in diabetics.
Additional Information:

Wait at least 4 weeks from colonoscopy or barium enema. 

Wait at least 2-4 weeks from your last dose of antibiotics, antifungals or Pepto-Bismol.

We do not suggest collecting during an acute infectious illness.

Do not open, remove or loosen tops of collection tubes; this will break the vacuum and make it impossible to perform your test. Do not stick your finger into the mouthpiece/plastic bag; there is a sharp needle inside.
Schedule: TAT: Report available 7 days from receipt of specimen at Genova Diagnostics
Performing Lab:

Genova Diagnostics; SIBO #2306
Clinical Significance: Non-invasive test to detect bacterial overgrowth in the small intestine, a common condition that often underlies chronic symptoms of maldigestion and malabsorption, including bloating, gas, diarrhea, irregularity, and abdominal pain.
Use:

Updated 02/26/22

The CPT codes included in this publication are in accordance with Current Procedural Terminology, a publication of the American Medical Association. CPT codes are provided here for the convenience of our clients; however, correct coding often varies from one carrier to another, and HealthLab may bill specific carriers using codes other than those shown. Clients who bill for services should verify the code(s) with the applicable payor to confirm that their use is appropriate in each case.
Test Type:

FIND A HEALTHLAB LOCATION

LOCATION ADDRESS

2635 Church Road, Suite 101|Aurora, IL 60502

Telephone: 630.315.6900|Fax: 630.315.6918

TTY: 711

HOURS OF OPERATION

7:30 am to 4:30 pm

Open daily; closed on holidays

This location is part of Northwestern Medicine, and staff members are able to access electronic medical records.